Provider Demographics
NPI:1033609094
Name:WILLIAMSON THERAPY AND LEARNING CENTER
Entity Type:Organization
Organization Name:WILLIAMSON THERAPY AND LEARNING CENTER
Other - Org Name:WILLIAMSON SPEECH THERAPY AND LEARNING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC SLP
Authorized Official - Phone:225-437-9535
Mailing Address - Street 1:1115 ETTA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT GABRIEL
Mailing Address - State:LA
Mailing Address - Zip Code:70776-5619
Mailing Address - Country:US
Mailing Address - Phone:225-437-9535
Mailing Address - Fax:225-647-3704
Practice Address - Street 1:625 S BURNSIDE AVE STE 2
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-3400
Practice Address - Country:US
Practice Address - Phone:225-437-9535
Practice Address - Fax:225-647-3704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty